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NEW PATIENT QUESTIONNAIREPatient Name: Age Birthdate Race White African American Hispanic Asian Other Refuse to reportEthnicity White African American Not Hispanic Other Refuse to reportLanguage English
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How to fill out white african american hispanic
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To fill out the race/ethnicity section of a form that includes options for white, African American, and Hispanic, follow these steps:
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What is white african american hispanic?
White African American Hispanic refers to individuals who identify as both white, African American, and Hispanic.
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Individuals who identify as white, African American, and Hispanic may be required to file under this category for certain surveys or forms.
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The purpose of including white African American Hispanic as an option is to accurately capture the racial and ethnic identities of individuals.
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Individuals may be asked to provide additional information on their specific racial and ethnic backgrounds when selecting white African American Hispanic.
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